Correct E&M level assignment in emergency medicine directly determines reimbursement — undercoding costs revenue, overcoding creates audit risk. Our EM-certified coders review every chart for accurate level assignment based on medical decision-making and documentation.

ED billing involves two separate revenue streams — facility charges (hospital) and professional fees (ED physician group). We manage both simultaneously, ensuring neither stream leaves charges on the table or creates conflicting claim data.

Critical care billing requires precise time documentation and correct exclusion of separately billable procedures. Our coders are expert in critical care time tracking, concurrent care rules, and same-day procedure bundling exclusions.

The No Surprises Act fundamentally changed emergency physician billing. We maintain current NSA compliance workflows — IDR process management, good faith estimate requirements, and state surprise billing law compliance.

Emergency departments generate hundreds to thousands of encounters per day. Our batch claim processing, automated charge validation, and same-day coding turnaround maintain charge integrity even at the highest ED volumes.

EDs serve all patients regardless of ability to pay. We manage charity care screening, financial hardship applications, and compliance with EMTALA billing restrictions — protecting your hospital from billing violations.